Double cancer of the stomach, one AFP-producing tumor

J Gastroenterol. 1996 Dec;31(6):851-4. doi: 10.1007/BF02358614.

Abstract

In recent years, many cases of alpha-fetoprotein-producing gastric cancer (AFPGC) characterized by increased serum levels of alpha-fetoprotein (AFP) and AFP positivity of the gastric cancer have been reported. Here we present a case of AFPGC coexistent with a different histological type of gastric cancer: The AFPGC was Borrmann type 1 advanced gastric cancer with multiple liver metastasis and appeared to produce both AFP and des-gamma-carboxy prothrombin (PIVKA-II). The second cancer was IIc type early gastric cancer and did not produce AFP. Despite receiving palliative chemotherapy, the patient died, due to hepatic failure, 45 days after admission.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / chemistry
  • Adenocarcinoma / secondary*
  • Biomarkers*
  • Biomarkers, Tumor
  • Biopsy
  • Fatal Outcome
  • Gastroscopy
  • Humans
  • Immunohistochemistry
  • Liver Neoplasms / chemistry
  • Liver Neoplasms / secondary*
  • Male
  • Middle Aged
  • Neoplasms, Second Primary / chemistry
  • Neoplasms, Second Primary / pathology*
  • Protein Precursors / analysis
  • Prothrombin / analysis
  • Stomach Neoplasms / chemistry
  • Stomach Neoplasms / pathology*
  • alpha-Fetoproteins / analysis*

Substances

  • Biomarkers
  • Biomarkers, Tumor
  • Protein Precursors
  • alpha-Fetoproteins
  • acarboxyprothrombin
  • Prothrombin